Provider Demographics
NPI:1437796018
Name:EVERYONE'S FAMILY DENTAL NORMAL LLC
Entity Type:Organization
Organization Name:EVERYONE'S FAMILY DENTAL NORMAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUBRAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-844-5283
Mailing Address - Street 1:3445 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60634-4420
Mailing Address - Country:US
Mailing Address - Phone:773-844-5283
Mailing Address - Fax:
Practice Address - Street 1:2410 W JEFFERSON ST # 108
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-6449
Practice Address - Country:US
Practice Address - Phone:773-610-1041
Practice Address - Fax:815-977-7029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty